A nurse is preparing to perform a dressing change on a 6-year-old client with mild cognitive impairment (CI) from a sport injury. Which strategy should the nurse use to prepare the child for the dressing change?
Demonstrate dressing change with the client using a doll
Complete the dressing change while distracting the child
Have the child watch a video demonstrating the dressing change
Have the child assist with the dressing change
The Correct Answer is A
A. Demonstrating the dressing change with a doll is an excellent strategy for helping a child understand the procedure. It makes the experience less threatening and prepares the child for what will happen.
B. Distracting the child may not provide enough information or control over the situation, especially if the child is anxious. The child should be informed and comforted through understanding.
C. Watching a video may not be as effective as hands-on demonstration, especially for younger children, as it may not provide the same reassurance or tangible interaction.
D. Having the child assist with the dressing change might be a good strategy for involving the child, but it might not be appropriate if the child is too anxious or if the cognitive impairment prevents the child from fully understanding the procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Children with dysmorphic syndromes and congenital anomalies often have multiple medical needs that require frequent hospitalizations for treatment or monitoring.
B. Weight loss is not necessarily a primary concern unless there is a feeding issue or metabolic disorder.
C. Cognitive impairment may be a concern depending on the specific syndrome, but it is not as immediate a concern as potential frequent hospitalizations.
D. Dependence on caregivers is expected, but the primary concern is frequent medical interventions, not the dependency itself.
Correct Answer is A
Explanation
A. Demonstrating the dressing change with a doll is an excellent strategy for helping a child understand the procedure. It makes the experience less threatening and prepares the child for what will happen.
B. Distracting the child may not provide enough information or control over the situation, especially if the child is anxious. The child should be informed and comforted through understanding.
C. Watching a video may not be as effective as hands-on demonstration, especially for younger children, as it may not provide the same reassurance or tangible interaction.
D. Having the child assist with the dressing change might be a good strategy for involving the child, but it might not be appropriate if the child is too anxious or if the cognitive impairment prevents the child from fully understanding the procedure.
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